肝硬化食管静脉曲张程度门脾静脉内径及Child-Pugh分级的关系

【】　目的　探讨肝硬化食管静脉曲张程度与门脾静脉内径、肝功能Child-Pugh分级间的关系。　方法　对2007年1月-2010年1月间56例肝硬化患者行增强CT，测量门静脉主干及脾门部脾静脉直径，采用Child-Pugh分级标准进行肝功能分级，并行胃镜了解食管静脉曲张的程度。　结果　食管静脉曲张程度与门、脾静脉内径呈正相关，而Child-Pugh分级与门脾静脉内径、食管静脉曲张程度无相关性。　结论　根据门、脾静脉内径可预测肝硬化上消化道出血的可能性；在Child-Pugh分级基础上对患者上消化道出血的风险进行评估显得尤为重要。？【Abstract】　Objective　Todiscusstherelationshipamongtheesophagealvarices,thediameterofportalveinandspleenvein,andChild-Pughscoreinpatientswithlivercirrhosis.　Methods　Thestudyincluded56patientswhohadlivercirrhosisbetweenJanuary2007andJanuary2010.WemeasuredtheirportalveinandspleenveindiameterwithCT;usedChild-Pughscoretogradetheirhepaticfunction;anddetectedthedegreeoftheesophagealvaricesbyendoscopy.　Results　Therewasapositivecorrelationbetweenthedegreeofesophagealvaricesanddiameterofportalveinandspleenvein,whilenocorrelationshowedbetweenportalveinandspleenveindiameter,degreeofesophagealvarices,andChild-Pughscore.　Conclusion　Theuppergastrointestinalbleedinginpatientswithlivercirrhosiscanbepredictedbythediameterofportalveinandspleenvein,assessmentofuppergastrointestinalbleedingbasedonChild-Pughscoreshouldalsobetakenintoaccount.